Organization Active NPI

Remedy Holistic Pharmacy Inc

  • Community/Retail Pharmacy
  • San Diego, CA
National Provider Identifier
1780433060
Registry record updated May 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
REMEDY HOLISTIC PHARMACY INC
Practice address
320 W Cedar St Ste 103
San Diego, CA 92101-3064
Phone
(619) 915-5862
NPI assigned
May 17, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Haidi VattoloNPI 1962719682
Title
Ceo
Phone
(951) 392-6494

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

320 W Cedar St Ste 103
San Diego, CA 92101-3064

Mailing address

6965 El Camino Real # 105-575
Carlsbad, CA 92009-4100

Other names 1

  • Remedy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241018002935 CA Part B Supplier - Pharmacy 7517499296 Practice locations: San Diego, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1715904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715904000000",
    "number": "1780433060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6965 EL CAMINO REAL # 105-575",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920094100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 W CEDAR ST STE 103",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921013064",
            "telephone_number": "619-915-5862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REMEDY HOLISTIC PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-17",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-15",
        "status": "A",
        "authorized_official_last_name": "VATTOLO",
        "authorized_official_first_name": "HAIDI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "951-392-6494"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Remedy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.